An integrated measure of GABA to characterize post-stroke plasticity.

Paparella I
Vanderwalle G
Maquet P

Scientific Abstract

Stroke is a major cause of death and chronic neurological disability. Despite the improvements in stroke care, the number of patients affected by stroke keeps increasing and many stroke survivors are left permanently disabled. Current therapies are limited in efficacy. Understanding the neurobiological mechanisms underlying post-stroke recovery is therefore crucial to find new therapeutic options to address this medical burden. Long-lasting and widespread alterations of γ-aminobutyric acid (GABA) neurotransmission seem to play a key role in stroke recovery. In this review we first discuss a possible model of GABAergic modulation of post-stroke plasticity. We then overview the techniques currently available to non-invasively assess GABA in patients and the conclusions drawn from this limited body of work. Finally, we address the remaining open questions to clarify GABAergic changes underlying post-stroke recovery, we briefly review possible ways to modulate GABA post stroke and propose a novel approach to thoroughly quantify GABA in stroke patients, by integrating its concentration, the activity of its receptors and its link with microstructural changes.

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Dual-site beta transcranial alternating current stimulation during a bimanual coordination task modulates functional connectivity between motor areas

An integrated measure of GABA to characterize post-stroke plasticity.

Paparella I
Vanderwalle G
Maquet P

Scientific Abstract

Stroke is a major cause of death and chronic neurological disability. Despite the improvements in stroke care, the number of patients affected by stroke keeps increasing and many stroke survivors are left permanently disabled. Current therapies are limited in efficacy. Understanding the neurobiological mechanisms underlying post-stroke recovery is therefore crucial to find new therapeutic options to address this medical burden. Long-lasting and widespread alterations of γ-aminobutyric acid (GABA) neurotransmission seem to play a key role in stroke recovery. In this review we first discuss a possible model of GABAergic modulation of post-stroke plasticity. We then overview the techniques currently available to non-invasively assess GABA in patients and the conclusions drawn from this limited body of work. Finally, we address the remaining open questions to clarify GABAergic changes underlying post-stroke recovery, we briefly review possible ways to modulate GABA post stroke and propose a novel approach to thoroughly quantify GABA in stroke patients, by integrating its concentration, the activity of its receptors and its link with microstructural changes.

Citation

2023. Neuroimage Clin, 39:103463.

DOI

10.1016/j.nicl.2023.103463

Free Full Text at Europe PMC

PMC10339061

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Similar content

Preprint
Gann MA, Paparella IA, Zich C, Grigoras IF, Huertas-Penen S, Rieger SW, Thielscher A, Sharott A, Stagg CJ, Schwab BC

Dual-site beta transcranial alternating current stimulation during a bimanual coordination task modulates functional connectivity between motor areas